Active NPI
David Bertin Ness, OD
- Optometrist
- Woodbury, MN
National Provider Identifier
1083792097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MN1957
- Practice address
- 7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271 - Phone
- (651) 738-4886
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN1957 | MN | Primary |
Addresses
Primary practice location
7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271
Mailing address
7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271
Phone (651) 738-4886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN1957 | MN | MD | Optometrist |
| 1957 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sees the Day LTD | Optometrist | Current | Accepting new patients |
| Sees the Day LTD | Optometrist | Current | Accepting new patients |
Locations
7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083792097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 VALLEY CREEK PLZ STE 216",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252271",
"telephone_number": "651-738-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 VALLEY CREEK PLZ STE 216",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252271",
"telephone_number": "651-738-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESS",
"first_name": "DAVID",
"middle_name": "BERTIN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "MN1957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.